CHARLES TODD WOOLLEY MD PC NPI 1790964062

NPI Information

CHARLES TODD WOOLLEY MD PC is a specialist in Portland, OR. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CHARLES TODD WOOLLEY MD PC NPI is 1790964062. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10101 SE MAIN ST
SUITE 3008
PORTLAND, OR
ZIP 97216-455
Phone: (503) 253-3268
Fax: (503) 253-1530

The provider's authorized official is Janice Lee Spencer .
The authorized official title is Manager and has the following contact phone number (503) 253-3268.

The enumeration date for this NPI number is 11/2/2007 and was last updated on 11/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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